1111 MARCUS AVE, LAKE SUCCESS, 11042, NEW YORK
| Entity Name | DOUGLAS M. HARGRAVE, M.D., P.C. |
| Entity Number | 2034728 |
| Status | ACTIVE |
| Incorporation Date | 30th May 1996 |
| Dos Process Address | 1465 WESTERN AVE, ALBANY, 12203, NEW YORK |
| Jurisdiction | NEW YORK |
| County | ALBANY |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |